| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,178 |
16,984 |
$1.39M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,351 |
8,902 |
$344K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,715 |
2,554 |
$262K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,704 |
2,508 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,525 |
2,368 |
$237K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,134 |
2,009 |
$216K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,269 |
1,976 |
$216K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,837 |
3,584 |
$62K |
| 96127 |
|
1,922 |
1,764 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,945 |
2,682 |
$29K |
| 99051 |
|
4,430 |
4,077 |
$27K |
| 87081 |
|
3,442 |
3,118 |
$19K |
| 99173 |
|
2,454 |
2,285 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
254 |
$11K |
| 36416 |
|
2,726 |
2,564 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
59 |
$6K |
| 90620 |
|
526 |
482 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 90686 |
|
4,338 |
4,229 |
$2K |
| 90734 |
|
669 |
618 |
$806.26 |
| 90716 |
|
660 |
627 |
$443.76 |
| 90651 |
|
649 |
629 |
$442.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$316.80 |
| 94760 |
|
113 |
95 |
$170.79 |
| 90715 |
|
106 |
100 |
$131.54 |
| 90707 |
|
584 |
561 |
$68.67 |
| 90633 |
|
751 |
728 |
$33.10 |
| 81002 |
|
2,155 |
2,051 |
$18.80 |
| 85018 |
|
2,692 |
2,531 |
$8.12 |
| 90648 |
|
1,019 |
999 |
$0.03 |
| 90685 |
|
220 |
214 |
$0.03 |
| 90670 |
|
1,553 |
1,520 |
$0.03 |
| 90681 |
|
465 |
441 |
$0.01 |
| 90723 |
|
704 |
693 |
$0.00 |
| 99000 |
|
1,408 |
1,351 |
$0.00 |
| 90697 |
|
605 |
545 |
$0.00 |
| 90696 |
|
109 |
108 |
$0.00 |
| 99072 |
|
959 |
900 |
$0.00 |
| 90461 |
|
3,481 |
3,293 |
$0.00 |
| 90671 |
|
371 |
299 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |